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Organization
TAILOR MADE NON-MEDICAL HOMECARE LLC
Active
Organization
TAILOR MADE NON-MEDICAL HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGTT DEANNE TAYLOR (OWNER)
(520) 208-1981
Entity
Organization
Contact information
Practice address
9965 WEST MISSION DRIVE, ARIZONA CITY, AZ 85123-0798
(520) 208-1981
Mailing address
PO BOX 3257, ARIZONA CITY, AZ 85123-0798
(520) 208-1981
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024286
—
AZ
Enumeration date
05/24/2016
Last updated
05/24/2016
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